| NPI | 1104212729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLIANA ALARCON ARAGON Owner 786-391-4134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-14 |